Early neurophysiological evolution of chronic inflammatory demyelinating polyneuropathy in a patient with Hashimoto's thyroiditis.
A patient with a known history of hypothyroidism due to Hashimoto's thyroiditis presented with a subacute, progressive sensorimotor deficit that affected the upper limbs predominantly. The electrophysiological findings progressively evolved from multifocal motor conduction block to multifocal demyelinating sensory and motor nerve involvement with conduction block, and finally to findings fulfilling the diagnostic criteria of chronic inflammatory demyelinating polyneuropathy (CIDP). The patient did not respond adequately to intravenous immunoglobulin, whereas oral prednisone led to fast and complete recovery. This report discusses the evolution of early findings of CIDP, as well as its coexistence with Hashimoto's thyroiditis.
Bairactaris
Chrisostomos
C
Neurology Department, 401 Army General Hospital of Athens, Mesogeion and Kanellopoulou 1, Athens 11525, Greece.
Stouraitis
Georgios
G
Neurology Department, 401 Army General Hospital of Athens, Mesogeion and Kanellopoulou 1, Athens 11525, Greece.
Papalias
Elias
E
Neurology Department, 401 Army General Hospital of Athens, Mesogeion and Kanellopoulou 1, Athens 11525, Greece.
Fakas
Nikolaos
N
Neurology Department, 401 Army General Hospital of Athens, Mesogeion and Kanellopoulou 1, Athens 11525, Greece.
Papatheodorou
Georgios
G
Clinical Research Unit, 401 Army General Hospital of Athens, Athens, Greece.
Gourtzelidis
Pavlos
P
Neurology Department, 401 Army General Hospital of Athens, Mesogeion and Kanellopoulou 1, Athens 11525, Greece.|Neuroscience Department, University of Minnesota, Minneapolis, Minnesota, USA.
D000328:Adult; D018450:Disease Progression; D050031:Hashimoto Disease / Q000150:complications*; D006801:Humans; D008297:Male; D009431:Neural Conduction / Q000502:physiology; D020277:Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / Q000175:diagnosis* / Q000209:etiology*